Provider Demographics
NPI:1952725111
Name:FLORES, ARNEL (MA, OTR/L)
Entity Type:Individual
Prefix:
First Name:ARNEL
Middle Name:
Last Name:FLORES
Suffix:
Gender:M
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 RIDGEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-3131
Mailing Address - Country:US
Mailing Address - Phone:908-329-7999
Mailing Address - Fax:
Practice Address - Street 1:2009 RIDGEVIEW CT
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-3131
Practice Address - Country:US
Practice Address - Phone:908-329-7999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-08
Last Update Date:2014-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY63 018584225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist